Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | ME0030443 | FL |
NPI | 1023030467 |
---|---|
Provider Name | Dr. Marc E Taub |
First Address | Boca Raton, FL 33486-2305 |
Second Address | Boca Raton, FL 33486-2305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 25/04/2017 |